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1. A nurse is caring for a client who has a new prescription for a nonbenzodi-
azepine hypnotic to promote sleep. For which of the following adverse effects a. Hypothalamus
should the nurse monitor the client? b. Thalamus
c. Cerebral cortex
a. Retrograde amnesia d. Pineal gland: b. Thalamus
b. Urinary discomfort
c. Dry mouth -The nurse should include that the thalamus transmits images, sounds, and sen-
d. Hallucinations: d. Hallucinations sations to the cerebral cortex, which are used to develop dreams during rapid eye
movement (REM) sleep.
-The nurse should monitor the client for hallucinations, which can be an adverse 5. A client is caring for a client who takes OTC sleep aid medication every
effect of nonbenzodiazepine hypnotics. evening. Which of the following findings should the nurse identify as a poten-
2. A nurse is contributing to a presentation about hypersomnia. Which of the tial adverse effect of OTC sleep aid medications?
following information should the nurse recommend including in the presenta-
tion? a. Hyperactivity
b. Diarrhea
a. Hypersomnia does not improve with increased sleep. c. Excessive salivation
b. Hypersomnia is associated with a disturbed circadian rhythm. d. Urinary retention: d. Urinary retention
c. Clients who experience hypersomnia have a longer attention span.
d. Clients who experience hypersomnia lack the hormone hypocretin.: a. Hy- -The nurse should identify that OTC sleep aid medications can cause urinary
persomnia does not improve with increased sleep. retention, as well as daytime drowsiness, dry mouth, visual disturbances, and
constipation.
-The nurse should recommend including that hypersomnia is characterized by 6. A nurse is caring for an older adult client who reports that they wake
excessive daytime fatigue that does not improve if the client receives additional up frequently during the night. The nurse should identify that which of the
sleep. following is a characteristic of older adult sleep patterns that might explain
3. A nurse is caring for a client who has narcolepsy (NT1) with cataplexy. The the client's frequent awakenings?
nurse should identify that this condition is caused by a lack of which of the
following hormones? a. Older adults tend to spend more time in stage 4 sleep.
b. Older adults tend to spend more time in stage 3 sleep.
a. Hypocretin c. Older adults tend to spend less time in stage 1 sleep.
b. Melatonin d. Older adults tend to spend more time in stage 2 sleep.: d. Older adults tend
c. Estrogen to spend more time in stage 2 sleep.
d. Insulin: a. Hypocretin
-Older adults tend to spend more time in stage 2 sleep compared to adults. Stage
-Hypocretin is a hormone produced in the hypothalamus and is responsible for 2 is a lighter stage of sleep than stages 3 and 4. This can contribute to the client's
maintaining alertness. Narcolepsy (NT1) with cataplexy is caused by a lack of frequent awakenings because environmental factors, such as noise, are more likely
hypocretin. to rouse someone who is in stage 2 sleep.
4. A nurse is teaching a newly licensed nurse about the development of 7. An employee health nurse is providing teaching about sleep promotion to
dreams. The nurse should include that which of the following areas of the brain a group of newly licensed nurses. Which of the following statements should
transmits the sensory data that is used to develop dreams? the nurse include?
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